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22 Cards in this Set
- Front
- Back
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False labor
presentations |
- inconsistent contractions
-a change in activity does not change contractions -nochange in cervix - discomfort in the lower abd and groin |
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True labor
presentations |
contractions increase in frequency, duration and intensity
walking increases the contractions lower back pain sweeping o the front cervical changes exist |
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first stage of labor
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latent
active transition |
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latent
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begining to about 3 cm dilation
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active phase
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cervical dilation from 4-7 cm cervical effacement is completed
fetus desends into the pelvis internal rotation begins |
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transition
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cervix 8-10 cm dilated
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2nd stage of labor
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begins with complete dilation and ends with expulsion of the fetus
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3rd stage
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placenta is delivered
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4th stage
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phyiscal recovery and bonding
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When to go to the hospital
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contractions increasing
5-10 minutes apart for 1 hour ruptured membranes bleeding decreaesed fetal movement |
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APGAR
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Heart rae
respiratory effort musle tone reflex resonse color |
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maximum lchia flow
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1 pad i the first post partum hour
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preceding signs of labor
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increasing braxton hicks contractions
increased vaginal secretionslightening spurt of energy weight loss |
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assessing the fetal heart strip for
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baseline rate
vaiability pattern on rate changes from baseline |
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Uterine activiy asessment
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frequency
intensity duration resting tone |
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Non reassuring pattens
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tachycardia
bradycardia decreased or absent variability variable decellerations |
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Increasing placental perfusion
inerventions |
place pt on her side
bolus of LR 100% o2 via face mask |
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Visceral pain
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dull, aching pain
first stage of labor |
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somatic pain
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shrp, localized
second stage of labor |
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EPidural block
aderse effects |
maternal hypoenstion
bladder distention polonged 2nd stage fever, catheter migration |
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inrathecal opiod analgesics
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rapid onset
no motor blocksno sympathetic block limited duration inadequate pain relief |
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subarachnoid spinal block
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done whe a quick c section is necesar
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